Periprosthetic Joint Infection (PJI)

Document Type : CURRENT CONCEPTS REVIEW

Authors

1 1 Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran 2 Bone and Joint Research Laboratory, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

2 1 Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran 2 Bone and Joint Research Laboratory, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran 3 Department of Regenerative Medicine and Cell Therapy, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/abjs.2025.81816.3726

Abstract

Periprosthetic joint infection (PJI) is a serious complication that can occur after joint arthroplasty, 
significantly affecting both the healthcare system and patients due to high costs and mortality rates. 
Managing PJI is complex and presents significant challenges in orthopedic surgery because there is 
no standardized definition for PJI and no universally accepted diagnostic gold standard. Despite various 
preventive measures taken before and during surgery, PJIs still occur. Many treatment options are 
available, but the best management is still highly debated, and the best treatment choice depends on 
several factors. Notably, all of these treatments are taken after the occurrence of PJI, while modern 
strategies, such as coating methods with various materials, must be relied upon to control and prevent 
the occurrence of PJI. This review focuses on the precise concept of PJIs, treatment options, and novel 
strategies to prevent PJIs.
 Level of evidence: V

Keywords

Main Subjects

References

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The Archives of Bone and Joint Surgery
Volume 13, Issue 7
July 2025
Pages 406-413

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History

  • Receive Date: 10 August 2024
  • Revise Date: 28 April 2025
  • Accept Date: 22 February 2025

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